Breast Reconstruction with the Latissimus Dorsi Flap and Fat Grafting

2020 ◽  
pp. 109-118
Author(s):  
Fabio Santanelli di Pompeo ◽  
Benedetto Longo
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap

scholarly journals Maximizing the Volume of Latissimus Dorsi Flap in Autologous Breast Reconstruction with Simultaneous Multisite Fat Grafting

2015 ◽  
Vol 36 (2) ◽  
pp. 169-178 ◽  
Author(s):  
Lin Zhu ◽  
Anita T. Mohan ◽  
Aparna Vijayasekaran ◽  
Christine Hou ◽  
Yoo Joon Sur ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction

scholarly journals Response to “Comments on ‘Maximizing the Volume of Latissimus Dorsi Flap in Autologous Breast Reconstruction with Simultaneous Multisite Fat Grafting’”

2016 ◽  
Vol 36 (7) ◽  
pp. NP239-NP241 ◽  
Author(s):  
Lin Zhu ◽  
Anita T. Mohan ◽  
Aparna Vijayasekaran ◽  
Christine Hou ◽  
Yoo Joon Sur ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap ◽  
Autologous Breast Reconstruction

Breast fat grafting (lipomodelling) after extended latissimus dorsi flap breast reconstruction: A preliminary report of 200 consecutive cases

2010 ◽  
Vol 63 (11) ◽  
pp. 1769-1777 ◽  
Author(s):  
Raphael Sinna ◽  
Emmanuel Delay ◽  
Sébastien Garson ◽  
Thomas Delaporte ◽  
Gilles Toussoun
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Preliminary Report ◽  
Fat Grafting ◽  
Latissimus Dorsi Flap

Preventive effects on seroma formation with use of the harmonic focus shears after breast reconstruction with the latissimus dorsi flap

2016 ◽  
Vol 50 (6) ◽  
pp. 349-353 ◽  
Author(s):  
Yoshihiro Sowa ◽  
Toshiaki Numajiri ◽  
Ayako Kawarazaki ◽  
Kouichi Sakaguchi ◽  
Tetsuya Taguchi ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap ◽  
Harmonic Focus ◽  
Preventive Effects

Obesity and the Latissimus Dorsi Flap: A Radiologic Study

2021 ◽  
pp. 229255032110319
Author(s):  
Joshua H. Choo ◽  
Bradley J. Vivace ◽  
Luke T. Meredith ◽  
Swapnil Kachare ◽  
Thomas J. Lee ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Normal Weight ◽  
Latissimus Dorsi Flap ◽  
Class I ◽  
Autologous Reconstruction ◽  
Complication Rates ◽  
Obese Patients ◽  
Weight Category ◽  
Flap Thickness

Introduction: The increasing prevalence of obesity in patients with breast cancer has prompted a reappraisal of the role of the latissimus dorsi flap (LDF) in breast reconstruction. Although the reliability of this flap in obese patients is well-documented, it is unclear whether sufficient volume can be achieved through a purely autologous reconstruction (eg, extended harvest of the subfascial fat layer). Additionally, the traditional combined autologous and prosthetic approach (LDF + expander/implant) is subject to increased implant-related complication rates related to flap thickness in obese patients. The purpose of this study is to provide data on the thicknesses of the various components of the latissimus flap and discuss the implications for breast reconstruction in patients with increasing body mass index (BMI). Methods: Measurements of back thickness in the usual donor site area of an LDF were obtained in 518 patients undergoing prone computed tomography–guided lung biopsies. Thicknesses of the soft tissue overall and of individual layers (e.g., muscle, subfascial fat) were obtained. Patient, demographics including age, gender, and BMI were obtained. Results: A range of BMI from 15.7 to 65.7 was observed. In females, total back thickness (skin, fat, muscle) ranged from 0.6 to 9.4 cm. Every 1-point increase in BMI resulted in an increase of flap thickness by 1.11 mm (adjusted R 2 of 0.682, P < .001) and an increase in the thickness of the subfascial fat layer by 0.513 mm (adjusted R 2 of 0.553, P < .001). Mean total thicknesses for each weight category were 1.0, 1.7, 2.4, 3.0, 3.6, and 4.5 cm in underweight, normal weight, overweight, and class I, II, III obese individuals, respectively. The average contribution of the subfascial fat layer to flap thickness was 8.2 mm (32%) overall and 3.4 mm (21%), 6.7 mm (29%), 9.0 mm (30%), 11.1 mm (32%), and 15.6 mm (35%) in normal weight, overweight, class I, II, III obese individuals, respectively. Conclusion: The above findings demonstrate that the thickness of the LDF overall and of the subfascial layer closely correlated with BMI. The contribution of the subfascial layer to overall flap thickness tends to increase as a percentage of overall flap thickness with increasing BMI, which is favourable for extended LDF harvests. Because this layer cannot be separated from overall thickness on examination, these results are useful in estimating the amount of additional volume obtained from an extended latissimus harvest technique.

scholarly journals Two-Stage Latissimus Dorsi Flap with Implant for Unilateral Breast Reconstruction: Getting the Size Right

2016 ◽  
Vol 43 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Jiajun Feng ◽  
Cleone I Pardoe ◽  
Ashley Manuel Mota ◽  
Christopher Hoe Kong Chui ◽  
Bien-Keem Tan
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Flap ◽  
Two Stage
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